2309 FIDDLERS LN - GARAGE DOOR ry�yl,,,
CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
40;3 sINSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0048
Description: GARAGE DOOR
Estimated Value: 1750
Issue Date: 2/8/2018
Expiration Date: 8/7/2018
PROPERTY ADDRESS:
Address: 2309 FIDDLERS LN
RE Number: 169463 0124
PROPERTY OWNER:
Name: PESTERFIELD JOHN DAVID
Address: 2309 FIDDLERS LN
ATLANTIC BEACH, FL 32233-4681
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: OVERHEAD DOOR CO. OF JAX
Address: 6884 N PHILIPS PARKWAY DR
JACKSONVILLE, FL 32256
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
,(----� City of Atlantic Beach
,i�, APPLICATION NUMBER
`
S Building Department (To be assigned by the Building Department )
4 s � _ � 800 Seminole Road 11 �Ef `0O4
:::}'-"2,-,/ Atlantic Beach, Florida 32233-5445
Phone (904)uiling-de 247-5826 • Fax(904)247-5845 y /29
!i
•r!�;;19� E-mail: building-dept@coab.us Date routed: 1 /
City web-site: http://www.coab.us !`
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z3O9 Rt DD( -e Lk:- D nt review required Y7 410
Building �
Applicant: fr_____\(a7.......acalm)_ .
00 ing Zoning
Tree Administrator
Project: C a_ra e Dcpcs) Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By e .
Florida Dept. of Environmental Protection 6/)"
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [proved. Denied. ❑Not applicable
(Circle one.) Comments:
ILDING'
PLANNING &ZONING ,/l^
Date:
Reviewed by: I' , ',5 •o?tea'
TREE ADMIN.
Second Review: ElApproved as revised. ❑Denied. fNot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
OFFICE LUNY
jyje
� Building Permit Application Updated 5/5/17
4 `^ City of Atlantic Beach
VW800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845 ``,,�,.�//�f
Job Address: ,A 0"1 L— Op le tom- \--i4Permit Number: RES 1 B Vo4g
Legal Description jZ,,,*Cj bcoFz_ iRe cp' <-L 1 RE#
Valuation of Work(Replacement Cost)$ ‘10 c Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Poo Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: —ri Rt?(-'v\.te a LD G AtZ,AO‘iL 1.)C1t
i.N 5i,41 4-L t'- t .v G A CLA E O c O R
Florida Product Approval# I (p to L b , n for multiple products use product approval form
Property Owner Information
Name: QR\>r P 5 1-E.tuziel..0 Address: „ 313q �0 0 Lea Li_i
City ,i4-rip 7,111C CSL- r c..\a State T—L44 Zip 32 a.33 Phone_a'-11 7th 9,0
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information l
Name of Company:0\y/C fZA.FEAD t0 ;&. Qualifying Agent:t'\114.v. 1},�l l�,L.t et ht�
Address (o9SL\ P1-4 1 PP--3 P j4'\( Oa • 1J. City'�at1GS0.1�-ty/'.t.State r-1f4 Zip 3 ...2.,-,-(,..,
Office Phone q0(-1 ,- alp(y IIs P r Job Site/Contact Nu ber q0 y-50 q--- 4,'t.2 lel
State Certification/Registration# E-Mail IM 1 U.& 41.-iC1;"At.X . C:c(1..
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation flu)G. Il i7 al a IQ"1
Exempt/Insurer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAINj ' ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECOR' Yft YOUR NOTICE OF COMMENCEMENT.
°I—
• (Signature of Ow .r Agent) r (Signature of Contractor)
(including contractor)
Si and sw n to( ffirmed)before me the day o nd swo to( firmed)before me tl "day of
7 , "I __ek, 'a h taff(Signature of N. ary) (Signature ofary)
0.Y P
ASHLEY GILL
♦P UB�i
�° �=State of Florida-Notary Public
%=�4 Commissic(n]#Peror1�18/1109ow1i OR
[ ]Personally Known OR ;';, ;oc
[ 1 Produced Identification '%F°.«° ' Myo°ob �s1 P(rlknt cation
Type of Identification: Id2cnti.ficati-Iln: